SWPPP Pre-Permit Form

SWPPP Pre-Permit Form

The completion of this form is required to determine if a full Storm Water Pollution Prevention Plan is required for each project site within the City of Southlake's border based on TCEQ requirements. Be sure to read and submit each item carefully. Once a form is completed it will be submitted automatically for a review, which has a maximum turnaround time of 10 business days. Once it has been reviewed, a Pre-App letter will be emailed back using the contact information you provide. If you have any questions, please email Madisson Dunn at MEDunn@ci.southlake.tx.us.

Section 1 - Basic Information

Development or Project Name*

Name of the project.

Address(es)*

If seeking coverage of multiple addresses under one SWPPP, list all parcels/addresses below.

City of Southlake Permits - Requested*

Building Permit

Public Works Civil Construction Permit

Both Building and Public Works Civil Construction Permits

Is this a New Permit or a Revision?*

New Permit

Revision

Company or Business Name*

Provide name of company or business responsible for the project.

Operator's Contact Name*

Provide the day-to-day construction site owner/operator.

Operator's Mobile Number*

Provide a number for the inspector to contact the on-site operator anytime.

Operator's Business Number*

Provide a number for the inspector to contact the on-site operator during business hours.

Operator's Email Address*

Provide an email address to receive the acceptance letter and further information when completed.

Section 2 - Status

READ CAREFULLY! Incorrect information may delay this review or may cause you to be liable for fines from the City and/or the Texas Commission on Environmental Quality. Your activities are regulated under the Texas Commission on Environmental Quality (TCEQ) General Permit TXR150000 based on the size of the project. Some projects are required to take further action. You are responsible for determining whether further action is required to comply with state law. Below is basic information about the Construction General Permit that will assist you in determining your status. For more detailed information, please review the TCEQ Construction General Permit, TXR150000. Questions about the Construction General Permit may be forwarded to the TCEQ Small Business and Local Government Hotline at 817-447-2827. Below is the link to the main TCEQ SWPPP web page for further information: https://www.tceq.texas.gov/permitting/stormwater/construction

Check below to verify the above statement.

I have read the information above and am aware of my role in determining the requirements set by TCEQ and the City of Southlake concerning Stormwater Pollution Prevention Plans in relation to my worksite.*

Common Plan of Development*

Is this a common plan of development as defined by TCEQ? Will there be concurrent work now or in the near future within 1/4 mile of the site listed here by the same entity?

No, there will be no concurrent work within 1/4 mile of the site.

Yes, there will be concurrent work within 1/4 mile of the site.

Total Acres Disturbed*

How many acres are being disturbed during the life of the project? (ex. 3.4 acres)

REMEMBER! If this is a Common Plan of Development, all disturbed area within 1/4 mile must be added together for this value.

Attachments*

A Site Plan and Grading Plan showing the area disturbed must be uploaded as part of the submittal.

If a SWPPP has already been prepared for your project, please attach below to help expediate the review process.

Missing attachments may delay issuance of the approval letter.

Drag and drop files here or

Send me a copy of my responses

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